| NPI | 1700480373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016073) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CA 815392) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-09-06 |